MEDICARE: SULTAN A LAKHANI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0805X	Geriatric Psychiatry Physician	0101051095	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	260002850	OTHER	VA	DAILY PLANET MEDICARE NUM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	C06115	OTHER	VA	GROUP PTAN

General Provider Information

NPI Number	:	1114975471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SULTAN A LAKHANI MD

Provider Business Mailing Address
First Line	:	1510 N 28TH ST
Second Line	:	MOB, SUITE 101
City	:	RICHMOND
State	:	VA
Zip	:	23223-5311
Country	:	US
Telephone Number	:	804-371-1670
Fax Number	:	804-371-1671

Provider Business Practice Location Address
First Line	:	1510 N 28TH ST
Second Line	:	MOB, SUITE 101
City	:	RICHMOND
State	:	VA
Zip	:	23223-5311
Country	:	US
Telephone Number	:	804-371-1670
Fax Number	:	804-371-1671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	06/30/2011

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Directions to “ SULTAN A LAKHANI MD” Practice Location

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